Polycystic Ovaries?

[rashimae]

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hi guys,, need help with polycystic ovary..
unsa dapat buhaton??
i love to hear from those who had one but already cured

[atch_atch]

i have polycystic ovaries.it usually occurs to those overweight women,but i'm not.So para mapregnant ko,I was taking fertility pills.Good thing nituo ako mga eggs and became "bigger and matured".after 3 months,I underwent IUI(artificial insemenation)kay my husband also has some problem plus we are so eager to have a baby na.My son is 9 months now.

It's not that easy to cure man siguro. you have to take some medicine para manormal imo hormones.

Are you trying to get pregnant ba? I can recommend my OBGYN to you...

[rashimae]

im not married yet but planning to get married...
im afraid di ko kaanak..
i dont wanna be a prob to my future husband...
help!!!

[sunbeam1983]

You have to seek advice from an OB. However, in my case my OB advised me to take my medication for 6 months and if my menstrual cycle is regulated, she told me that she will let me take contraceptive pills (if i don't want to have baby yet) or fertility pills (if I want to have baby). I was also worried so I research and found an article..please read..I hope this could help.

Polycystic Ovarian Syndrome
The condition, polycystic ovarian syndrome, known as PCOS, is the commonest cause of ovulation disorders in women of reproductive age and is a familial condition. Polycystic ovarian syndrome (PCOS), is a primary ovarian condition and is characterized by the presence of many minute cysts in the ovaries and excess production of androgens. Polycystic ovarian syndrome can be found in apparently normal women and the full expression of the disease so-called “Stein-leventhal syndrome" is very uncommon. Polycystic ovarian syndrome is frequently associated with weight gain, excessive hair growth in the face and body, irregular and infrequent periods or absent periods, infrequent or absent ovulation, miscarriage and infertility. The cause of PCOS is not fully understood. There are long-term risks of developing type 2 diabetes, cardiovascular disease and cancer of the womb. Women diagnosed as having PCOS before pregnancy have an increased risk of developing gestational diabetes.

Incidence of Polycystic Ovarian Syndrome
Polycystic ovarian syndrome (PCOS) accounts for 90% of women with oligomenorrhoea (infrequent periods) and 30% of women with amenorrhoea (absent of periods) and over 70% of women with anovulation.

Diagnosis of Polycystic Ovarian Syndrome
Laparoscopy
Laparoscopy allows direct inspection of the ovaries; the ovaries are enlarged and polycystic. However, polycystic ovaries may appear normal at laparoscopy.
Vaginal ultrasound scan (better than abdominal)
The vaginal ultrasound may show the typical PCOS appearance but reliability varies with expertise.

Treatment of Polycystic Ovarian Syndrome in women who wish to conceive
Weight loss if she is over weight
This simple measure may restore menstruation and ovulation in patients with polycystic ovarian syndrome. Exercise and weight control also reduce the likelihood of developing type 2 diabetes in later life.

Ovulation induction with clomiphene (clomid) tablets
Induction of ovulation with clomiphene tablets is the first choice and is an effective treatment of polycystic ovarian syndrome (PCOS). It results in restoring menstruation and ovulation in about 70% of women and some 30% will conceive within three months of treatment. Clomiphene tablets maybe combined with steroid tablets to suppress androgen production. If this fails after a six month trial, then controlled ovarian stimulation with FSH or hMG combined with hCG is used. Because the polycystic ovaries are usually sensitive to stimulation by hormones, it is important to start with a low dose and adjust the dose according to the response. Monitoring of treatment is essential because these patients are susceptible to develop ovarian hyperstimulation syndrome (OHSS) and multiple pregnancy.

Surgery
Surgery is recommended should the medical treatment fail and for women who have experienced OHSS. This may be ovarian drilling or ovarian wedge resection. It is not clear why women with PCOS ovulate after ovarian drilling or wedge resection. After surgery, ovulation occurs spontaneously in 70-90% of women and the probability of pregnancy after one year is in the region of 40-60%. There is no increased risk of multiple pregnancy or OHSS. If ovulatory cycles fail to restore after the surgery, the doctor may restart ovulation induction. A recent study up to 20 years after laparoscopic drilling has shown persistance of ovulation over many years. Compared with medical treatment, it need only be performed once and intensive monitoring is not required. The main problems associated with surgery include adhesion formation, the risk of destruction of the ovaries leading to ovarian failure. In addition, there are risks associated with surgery and anesthesia.

Treatment of Polycystic Ovarian Syndrome (PCOS) in women who do not wish to conceive
Low-dose contraceptive pills are the best option to restore menstrual regularity. It will decrease ovarian hormone production and help reverse the effects of the excessive androgen levels. However, if you smoke and are over 35 years, birth control pills are not recommended. The doctor may prescribe other hormone treatments such as progesterone tablets. In women with hirsutism or severe acne, treatment with estrogens and anti-androgen such as cyproterone acetate (dianette) may be used.

Metformin
Many women with PCOS have decreased sensitivity to insulin, and their bodies overcompensate by over-producing insulin. Elevated levels of insulin are common in women with PCOS, whether they are obese or thin compared with weight matched controls. Some experts believe that this excess insulin is the underlying cause of PCOS because insulin stimulates androgen production and effects follicular development. As a consequence, Metformin (oral anti-diabetic drug) combined with Clomid, has been used to treat women with PCOS. The results of the treatment are encouraging. It successively restored regular menstrual cycles and fertility. Insulin sensitizing drugs have not been licensed in the UK for use in non diabetic patients. Metformin should not be used when kidney function is abnormal. Further research is needed to evaluate the efficacy, safety, and long term effects.

[shrek]

Go to Dr. Marivic Tan (Best doctor in cebu)
(Repro Optima) near Cebu Doctors Hospital

[atch_atch]

Dr. MAry Grace Chua -Medical arta, maria christina bldg.,LH prime

[rashimae]

guys, thanks a lot!!
every advise counts....

[jo-anne]

very informative..

[Dorothea]

hi guys,, need help with polycystic ovary..
unsa dapat buhaton??
i love to hear from those who had one but already cured

Some women develop PCOS (polycystic ovaries) when they get grossly overweight. The most obvious thing to do to reverse this is, of course, to lose weight. When we carry around excess weight, we risk developing insulin resistance. It can contribute to a female developing PCOS.

While you're trying to lose weight, ask your OB-Gyne to prescribe a good birth control pill for you. This is to regulate your menses, and induce your ovulation, to minimize risk of getting ovarian and/or endometrial cancer.

For women trying to get pregnant, Metformin (an insulin sensitizer) is most often enough to do the job. If Metformin fails, most doctors prescribe ovulation inducer Clomid (sometimes concurrently prescribed with provera).

But really, losing weight should be your first option. Remember Sharon Cuneta? When she was overweight, she tried and tried to get pregnant. The moment she lost the excess weight, she did. She most probably suffered from PCOS too.

[Figyet]

girl talk. . . lol